Active NPI
David Burstein, DPM
- Podiatrist
- Roslyn, NY
National Provider Identifier
1619973484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 002372
- Practice address
- 122 Talley Rd S
Roslyn, NY 11576-2598 - Phone
- (516) 621-6666
- NPI assigned
- Jun 24, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 002372 | NY | Primary |
| Podiatrist | 213E00000X | PO0000549 | FL |
Addresses
Primary practice location
122 Talley Rd S
Roslyn, NY 11576-2598
Mailing address
122 Talley Rd S
Roslyn, NY 11576-2598
Phone (516) 621-6666
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00414851 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101022000432 | NY | Practitioner - Podiatry | 9032302021 | Practice locations: Roslyn, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- New York College of Podiatric Medicine, 1971
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
122 Talley Rd S
Roslyn, NY 11576-2598
Phone (516) 621-6666
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of nail tissue | 43 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PO0000549 | FL | MD | Podiatrist |
| 002372 | NY | MD | Advanced Practice Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204502400000",
"number": "1619973484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "122 TALLEY RD S",
"city": "ROSLYN",
"state": "NY",
"postal_code": "115762598",
"telephone_number": "516-621-6666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "122 TALLEY RD S",
"city": "ROSLYN",
"state": "NY",
"postal_code": "115762598",
"telephone_number": "516-621-6666"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURSTEIN",
"first_name": "DAVID",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-24",
"last_updated": "2008-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NY",
"license": "002372",
"primary": true
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "FL",
"license": "PO0000549",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00414851",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Roslyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.